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ALASKA PUBLIC ENTITY INSURANCE

Contents

Company Details

Name: ALASKA PUBLIC ENTITY INSURANCE
Jurisdiction: Alaska
Legal type: Nonprofit Corporation
Status: Good Standing
Date of registration: 17 Sep 1998 (26 years ago)
Entity Number: 64790D
ZIP code: 99801
County: Juneau
Place of Formation: ALASKA
Address: 2233 JORDAN AVE, JUNEAU, AK 99801

Activity

Line of Business

52 Finance and Insurance

NAICS

524210 INSURANCE AGENCIES AND BROKERAGES

Officers

Name Role
Mark Vink President
BRAD THOMPSON Director
Norman Wooten Director
BARBARA THURSTON Secretary
BARBARA THURSTON Treasurer
Stephen Giesbrecht Vice President
Laura Hylton Director
Phillip Zavadil Director
Melissa Haley Director
Alex Russin Director

Form 5500

Plan Name Plan Year EIN/PN Received Total number of participants
ALASKA PUBLIC ENTITY INSURANCE 401(K) PROFIT SHARING PLAN & TRUST 2023 800018352 2024-06-19 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Sponsor ALASKA PUBLIC ENTITY INSURANCE
Business code 524290
Sponsor’s telephone number 9075239440
Plan sponsor’s address 2233 JORDAN AVENUE, JUNEAU, AK, 99801

Signature of

Role Plan administrator
Date 2024-06-19
Name of individual signing CARLEEN MITCHELL
ALASKA PUBLIC ENTITY INSURANCE 401(K) PROFIT SHARING PLAN & TRUST 2022 800018352 2023-06-07 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Sponsor ALASKA PUBLIC ENTITY INSURANCE
Business code 524290
Sponsor’s telephone number 9075239440
Plan sponsor’s address 2233 JORDAN AVENUE, JUNEAU, AK, 99801

Signature of

Role Plan administrator
Date 2023-06-07
Name of individual signing CARLEEN MITCHELL
ALASKA PUBLIC ENTITY INSURANCE 401(K) PROFIT SHARING PLAN & TRUST 2021 800018352 2022-05-03 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Sponsor ALASKA PUBLIC ENTITY INSURANCE
Business code 524290
Sponsor’s telephone number 9075239440
Plan sponsor’s address 2233 JORDAN AVENUE, JUNEAU, AK, 99801

Signature of

Role Plan administrator
Date 2022-05-03
Name of individual signing CARLEEN MITCHELL
ALASKA PUBLIC ENTITY INSURANCE 401(K) PROFIT SHARING PLAN & TRUST 2020 800018352 2021-06-16 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Sponsor ALASKA PUBLIC ENTITY INSURANCE
Business code 524290
Sponsor’s telephone number 9075239440
Plan sponsor’s address 2233 JORDAN AVENUE, JUNEAU, AK, 99801

Signature of

Role Plan administrator
Date 2021-05-05
Name of individual signing CARLEEN MITCHELL
Role Employer/plan sponsor
Date 2021-06-16
Name of individual signing BARBARA THURSTON
ALASKA PUBLIC ENTITY INSURANCE 401(K) PROFIT SHARING PLAN & TRUST 2019 800018352 2020-06-05 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Sponsor ALASKA PUBLIC ENTITY INSURANCE
Business code 524290
Sponsor’s telephone number 9075239440
Plan sponsor’s address 2233 JORDAN AVENUE, JUNEAU, AK, 99801

Signature of

Role Plan administrator
Date 2020-06-05
Name of individual signing CARLEEN MITCHELL
Role Employer/plan sponsor
Date 2020-06-05
Name of individual signing CARLEEN MITCHELL
ALASKA PUBLIC ENTITY INSURANCE 401(K) PROFIT SHARING PLAN & TRUST 2018 800018352 2019-06-27 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Sponsor ALASKA PUBLIC ENTITY INSURANCE
Business code 524290
Sponsor’s telephone number 9075239440
Plan sponsor’s address 2233 JORDAN AVENUE, JUNEAU, AK, 99801

Signature of

Role Plan administrator
Date 2019-06-27
Name of individual signing CARLEEN MITCHELL
ALASKA PUBLIC ENTITY INSURANCE 401(K) PROFIT SHARING PLAN & TRUST 2017 800018352 2018-05-25 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Sponsor ALASKA PUBLIC ENTITY INSURANCE
Business code 524290
Sponsor’s telephone number 9075239440
Plan sponsor’s address 2233 JORDAN AVENUE, JUNEAU, AK, 99801

Signature of

Role Plan administrator
Date 2018-05-25
Name of individual signing BARBARA THURSTON
ALASKA PUBLIC ENTITY INSURANCE 401(K) PROFIT SHARING PLAN & TRUST 2016 800018352 2017-06-07 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Sponsor ALASKA PUBLIC ENTITY INSURANCE
Business code 524290
Sponsor’s telephone number 9075239452
Plan sponsor’s address 2233 JORDAN AVENUE, JUNEAU, AK, 99801

Signature of

Role Plan administrator
Date 2017-06-07
Name of individual signing BARBARA THURSTON
ALASKA PUBLIC ENTITY INSURANCE 401(K) PROFIT SHARING PLAN & TRUST 2015 800018352 2016-04-25 9
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Sponsor ALASKA PUBLIC ENTITY INSURANCE
Business code 524290
Sponsor’s telephone number 9075239400
Plan sponsor’s address 2233 JORDAN AVENUE, JUNEAU, AK, 99801

Signature of

Role Plan administrator
Date 2016-04-25
Name of individual signing BRAD THOMPSON
ALASKA PUBLIC ENTITY INSURANCE 401(K) PROFIT SHARING PLAN & TRUST 2015 800018352 2016-06-07 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Sponsor ALASKA PUBLIC ENTITY INSURANCE
Business code 524290
Sponsor’s telephone number 9075239400
Plan sponsor’s address 2233 JORDAN AVENUE, JUNEAU, AK, 99801

Signature of

Role Plan administrator
Date 2016-06-07
Name of individual signing BRAD THOMPSON

Licenses

Type License Number Status Date of issue Date of renewal Expiration date Description
Business License 260689 Active 1998-12-23 2024-12-17 2026-12-31 LOB: 52 - Finance and Insurance, NAICS: 524210 - INSURANCE AGENCIES AND BROKERAGES

Date of last update: 10 Jan 2025

Sources: State of Alaska - Department of Commerce, Community, and Economic Development